Effects of Exercise on Cardiovascular Risk Factors in Type 2 Diabetes: A meta-analysis
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TLDR
Aerobic exercise alone or combined with RT improves glycemic control, systolic blood pressure, triglycerides, and waist circumference, and the impact of resistance exercise alone on CV risk markers in type 2 diabetes remains unclear.Abstract:
OBJECTIVE Exercise is a cornerstone of diabetes management and the prevention of incident diabetes. However, the impact of the mode of exercise on cardiovascular (CV) risk factors in type 2 diabetes is unclear. RESEARCH DESIGN AND METHODS We conducted a systematic review of the literature between 1970 and October 2009 in representative databases for the effect of aerobic or resistance exercise training on clinical markers of CV risk, including glycemic control, dyslipidemia, blood pressure, and body composition in patients with type 2 diabetes. RESULTS Of 645 articles retrieved, 34 met our inclusion criteria; most investigated aerobic exercise alone, and 10 reported combined exercise training. Aerobic alone or combined with resistance training (RT) significantly improved HbA 1c −0.6 and −0.67%, respectively (95% CI −0.98 to −0.27 and −0.93 to −0.40, respectively), systolic blood pressure (SBP) −6.08 and −3.59 mmHg, respectively (95% CI −10.79 to −1.36 and −6.93 to −0.24, respectively), and triglycerides −0.3 mmol/L (95% CI −0.48 to −0.11 and −0.57 to −0.02, respectively). Waist circumference was significantly improved −3.1 cm (95% CI −10.3 to −1.2) with combined aerobic and resistance exercise, although fewer studies and more heterogeneity of the responses were observed in the latter two markers. Resistance exercise alone or combined with any other form of exercise was not found to have any significant effect on CV markers. CONCLUSIONS Aerobic exercise alone or combined with RT improves glycemic control, SBP, triglycerides, and waist circumference. The impact of resistance exercise alone on CV risk markers in type 2 diabetes remains unclear.read more
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Can physical activity interventions for adults with type 2 diabetes be translated into practice settings? A systematic review using the RE-AIM framework
TL;DR: A systematic review of studies in which an intervention, containing physical activity promotion as a component, has been delivered within routine diabetes care revealed limited and inconsistent reporting of useful process data.
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Leisure-time physical activity is a significant predictor of stroke and total mortality in Japanese patients with type 2 diabetes: analysis from the Japan Diabetes Complications Study (JDCS)
Hirohito Sone,Hirohito Sone,Sachiko Tanaka,S. Suzuki,Hiroaki Seino,Osamu Hanyu,A. Sato,T. Toyonaga,Kohei Okita,Shun Ishibashi,Satoru Kodama,Yasuo Akanuma,Nobuhiro Yamada +12 more
TL;DR: In Japanese persons with type 2 diabetes, LTPA of 15.4 MET h/week or more was associated with a significantly lower risk of stroke partly through ameliorating combinations of cardiovascular risk factors and was also associated with significantly reduced total mortality but independently of cardiovascularrisk factors or events.
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Exercise training for patients with type 2 diabetes and cardiovascular disease: What to pursue and how to do it. A Position Paper of the European Association of Preventive Cardiology (EAPC).
Hareld M. C. Kemps,Nicolle Kränkel,Marcus Dörr,Trine Moholdt,Matthias Wilhelm,Francesco Paneni,Luis Serratosa,Erik Ekker Solberg,Dominique Hansen,Martin Halle,Marco Guazzi +10 more
TL;DR: Recommendations on the contents and methods to prescribe exercise training tailored to these treatment targets as well as to an optimal preparation and dealing with barriers and risks specific to type 2 diabetes mellitus and cardiac comorbidity are provided.
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The effects of resistance training on ApoB/ApoA-I ratio, Lp(a) and inflammatory markers in patients with type 2 diabetes
Nikolaos P.E. Kadoglou,Grigorios Fotiadis,Zoi Athanasiadou,Ioulia Vitta,Stylianos Lampropoulos,Ioannis S. Vrabas +5 more
TL;DR: Long-term RT ameliorated glycemic control, insulin sensitivity and ApoB/ApoA-I ratio in individuals with type 2 diabetes mellitus, and the results indicate a merely beneficial impact of RT.
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Whole body vibration training improves leg blood flow and adiposity in patients with type 2 diabetes mellitus.
Borja Sañudo,Rosa M. Alfonso-Rosa,Borja del Pozo-Cruz,Jesús del Pozo-Cruz,Delfín Galiano,Arturo Figueroa +5 more
TL;DR: WBV training can be considered an effective means to increase leg blood flow and to reduce adiposity in patients with T2DM.
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TL;DR: In this article, the effects of intensive blood-glucose control with either sulphonylurea or insulin and conventional treatment on the risk of microvascular and macrovascular complications in patients with type 2 diabetes in a randomised controlled trial were compared.
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Global Prevalence of Diabetes: Estimates for the year 2000 and projections for 2030
TL;DR: Findings indicate that the "diabetes epidemic" will continue even if levels of obesity remain constant, and given the increasing prevalence of obesity, it is likely that these figures provide an underestimate of future diabetes prevalence.
Journal Article
Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). UK Prospective Diabetes Study (UKPDS) Group.
R C Turner,C Fox,Matthews,H McElroy,Carole A. Cull,Rury R. Holman,P. A. Neil,D R Hadden,D Wright,E Manley,Irene M Stratton,UK Prospective Diabetes,E M Kohner,Frighi,Michael Gnant +14 more
TL;DR: The effects of intensive blood-glucose control with either sulphonylurea or insulin and conventional treatment on the risk of microvascular and macrovascular complications in patients with type 2 diabetes in a randomised controlled trial were compared.
Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33)
TL;DR: The effects of intensive blood-glucose control with either sulphonylurea or insulin and conventional treatment on the risk of microvascular and macrovascular complications in patients with type 2 diabetes in a randomised controlled trial were compared.
Journal ArticleDOI
Mortality from Coronary Heart Disease in Subjects with Type 2 Diabetes and in Nondiabetic Subjects with and without Prior Myocardial Infarction
TL;DR: It is suggested that diabetic patients without previous myocardial infarction have as high a risk of myocardia infarctions as nondiabetic patients with previous my Cardiac Arrest.